The stochastic behavior of the phase synchronization index (SI) on different days during a hospital stay of epileptic patients was studied for noninvasive localization of the epileptogenic areas from high density (256 channel) scalp EEG recordings. The study was performed on three subjects with interictal EEG data on different days. The seizure areas were localized with subdural recordings with an 8 × 8 grid electrode array. The study was performed in low gamma (30-50 Hz) band with short duration (0-180 s), seizure-free and spike-free scalp EEG data. A detrended fluctuation analysis was used to find the averaged stochastic fluctuations in the SI. The phase synchronization was computed after taking Hilbert transform of the EEG data. Contour plots were constructed with 20 s time-frames using a montage of the layout of 256 electrode positions. It was found that the stochastic behavior of the SI was higher in epileptogenic areas on different days for each subject. Also, a stable higher pattern of SI emerged after 60-100 s in the epileptogenic areas. These findings suggest that it is possible to localize the epileptogenic areas from the short duration (60-100 s), seizure-free and spike-free high density scalp EEG recordings.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1007/s10548-012-0236-z | DOI Listing |
Epilepsia
January 2025
Department of Neuropediatrics and Muscular Disorders, Medical Center, Faculty of Medicine University of Freiburg, University of Freiburg, Freiburg im Breisgau, Germany.
Objective: Hypothalamic hamartomas (HHs) are associated with pharmacoresistant epilepsy. Stereotactic radiofrequency thermocoagulation (SRT) shows promise as a disconnecting intervention. Although magnetic resonance imaging (MRI) is typically used to determine the attachment and intervention side, it presents challenges in cases of bilaterally attached HH, where the epileptogenic side is unclear.
View Article and Find Full Text PDFNeuroimage
December 2024
Hospital del Mar Research Institute, 08003 Barcelona, Spain; Universitat Pompeu Fabra, 08003 Barcelona, Spain; Epilepsy Unit - Neurology Dept. Hospital del Mar, 08003 Barcelona, Spain.
The rate of success of epilepsy surgery, ensuring seizure-freedom, is limited by the lack of epileptogenicity biomarkers. Previous evidence supports the critical role of functional connectivity during seizure generation to characterize the epileptogenic network (EN). However, EN dynamics is highly variable across patients, hindering the development of diagnostic biomarkers.
View Article and Find Full Text PDFFront Netw Physiol
November 2024
Yale Comprehensive Epilepsy Center, Department of Neurology, Yale School of Medicine, New Haven, CT, United States.
To date, there is no neurophysiologic or neuroimaging biomarker that can accurately delineate the epileptogenic network. High-frequency oscillations (HFO) have been proposed as biomarkers for epileptogenesis and the epileptogenic network. The pathological HFO have been associated with areas of seizure onset and epileptogenic tissue.
View Article and Find Full Text PDFEpileptic Disord
December 2024
National Center for Epilepsy, Member of the ERN EpiCARE, Oslo University Hospital, Oslo, Norway.
We performed a systematic review of the localizational value of disturbances of self-integration, depersonalization and forced thinking in focal epilepsy with the aim to summarize the state-of-the-art anatomo-clinical correlations in the field and help guide interpretation of ictal semiology within the framework of pre-surgical evaluation. The review was performed using a PRISMA- and QUADAS2-based approach. Three separate PubMed and EMBASE searches were undertaken using the keywords self-integration, depersonalization and forced thinking, along with synonyms, in combination with terms to identify epileptogenic zone as defined by surgical outcome, MRI-findings or intracranially recorded EEG.
View Article and Find Full Text PDFNeuroimage Clin
November 2024
Scientific Institute IRCCS E.Medea, Epilepsy and Clinical Neurophysiology Unit, Conegliano 31015, Italy. Electronic address:
Epilepsy is one of the most diffused neurological disorders, affecting 50 million people worldwide. Around 30% of patients have drug-resistant epilepsy (DRE), defined as failure of at least two tolerated antiseizure medications (ASMs) to achieve sustained seizure freedom. Brain surgery is an effective therapeutic approach in this group, hinging on the accurate localization of the epileptic focus.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!